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PubMed2002

Evaluation of the North Carolina "Baby Think It Over" project.

The North Carolina "Baby Think It Over" (BTIO) evaluation was conducted during spring semester 2000. Data were collected from participating teachers, students, and parents. Twenty-five teachers were selected randomly from different counties in North Carolina. Each randomly selected teacher coordinated the evaluation in conjunction with the intervention. Student surveys determined whether using the BTIO doll changed perceptions and attitudes toward teen parenting. Information also was collected on the veracity of each student's participation based on data provided from the computer in the baby. Surveys were sent home to the parents of participating students so information on communication, disruption of the household, and parenting perceptions could be obtained. Each teacher completed a survey that sought information on topics discussed throughout the intervention, hours of the program, and perceptions of program effectiveness. Parents and teachers were offered participation incentives. Overall, support existed for the BTIO intervention by parents and teachers. Most teachers and parents felt the program was effective at increasing communication about parenting and changing teens' attitudes in a desired direction. Most teachers reported that the intervention was not disruptive to their classes. However, results from student surveys did not reveal the same support. Student changes in attitudes and beliefs about parenting after the intervention were minimal.

Adolescent↗
PubMedDate not supplied

[Multimedia learning program for medical consultation].

To improve communicative competence during physicians' consultations, we developed a computer-assisted multimedia learning programme. This programme can be used in medical education as well as in continuing education for physicians. Dependent on individual skills and needs, the system, based on hypertext links, can be tailored to expand and improve communicative competence in a series of steps. The programme is based on a manual of medical interviewing and breaking bad news. The user gains information about theory and techniques of verbal intervention. He is trained to be able to reflectively observe and interactively intervene in video-taped and transcribed physician-patient dialogues. In a contrast-typological approach to model learning, in which negative and positive cases can be compared in a problem-based concept, alternative types of interventions can be recognised and evaluated. Finally, the learning goals in verbal intervention techniques should be subject of self-evaluation which can be objectified by further evaluations.

Communication↗
PubMed1985

A controlled study of education for improving compliance with cromolyn sodium (Intal): the importance of physician-patient communication.

The effectiveness of an educational program to increase compliance with cromolyn sodium was assessed in 31 children and adolescents 6 to 17 years of age. Patients were randomly assigned to an education or noneducation group. A standard education program regarding asthma and asthma medications was provided to the education group during four monthly visits. At each visit, all patients were assessed in terms of knowledge of asthma and medications, asthma-related symptoms, and pulmonary function. Patients were also asked to self-rate their compliance. The education program increased the patients' knowledge of cromolyn, and appeared to result in increased cromolyn compliance. Post-hoc analyses, however, suggested that increased compliance did not correspond to improved medical status unless the quality of management (by physician and parents) of the child's asthma was taken into account. These results suggest that inadequate management of asthma in children may be a more serious problem than patient noncompliance.

Adolescent↗
PubMed1984

Doctor-patient communication. Clinical implications of social scientific research.

Research in the social sciences has clarified the nature and problems of doctor-patient communication. The development of adequate communication skills is now a goal of training programs in the primary-care specialties. Social structural barriers impede effective communication, however, and information giving remains problematic. Doctors tend to underestimate patients' desire for information and to misperceive the process of information giving. The transmission of information is related to characteristics of patients (sex, education, social class, and prognosis), doctors (social-class background, income, and perception of patients' desire for information), and the clinical situation (number of patients seen). Doctors' nonverbal communication abilities are associated with outcomes of medical care such as satisfaction and compliance. Regarding the sociolinguistic structure of communication, doctors often maintain a style of high control, which involves many doctor-initiated questions, interruptions, and neglect of patients' "life world." Training programs and standards of clinical practice should emphasize that improved doctor-patient communication is both desirable and possible.

Attitude of Health Personnel↗
PubMedDate not supplied

Views from the field: program directors' perceptions of teacher education and the education of students who are deaf or hard of hearing.

Arandom sample of directors of programs for the deaf in North America were surveyed to get their views about the skills that teacher education programs need to be teaching future teachers of students who are deaf or hard of hearing. The directors were queried about literacy practices, classroom management strategies, and communication strategies used in their programs, and were encouraged to comment freely on the questionnaire items presented to them. Program directors predicted a need for more itinerant and resource teachers. The survey also revealed that programs for the deaf are highly behaviorist (i.e., You do this and you'll get that) in the way they induce students to learn and in how they manage student behavior.

Administrative Personnel↗
PubMed2005

Enhancing patient-physician communication: a community and culturally based approach.

BACKGROUND: African American women are more likely to be diagnosed at later stages of breast cancer. METHODS: A total of 15 residents participated in a program to increase their self-efficacy in communication skills relevant to understanding and responding to African American cultural issues associated with mammography screening. RESULTS: Physicians reported increasing confidence in their ability to elicit barriers to mammography; assess cultural beliefs and norms; assess perceived health benefits and emotional adjustment; engage in emotional talk; motivate; and negotiate and build partnerships with patients. CONCLUSIONS: A brief program can increase physician communication skills to meet the needs of a diverse population.

Adult↗
PubMed1992

Helping hospitals spread the word about their patient focused care programs. Helping professionals "see" their future contributions.

In summary, any communications plan must meet two critical requirements if it is to successfully rally professional support for your patient focused care program. First, it must explicitly present a "vision" of the future role of professionals within your patient focused hospital. Neither your program nor these professionals benefit from them having to deduce their own future roles. Second, it must reorient the way in which these professionals view their roles. Today's almost demeaning, task-oriented view needs to be replaced with one attuned to the unique contributions professionals make now and in the future. By helping professionals "see" their future contributions, effective communications can keep your patient focused care program out of the grave and in perfect health for years to come.

Attitude of Health Personnel↗
PubMed2004

Use of the internet for information and support: disclosure among persons with breast and prostate cancer.

The present study examined the feasibility of evaluating online communication of cancer patients using an automated content analysis program modified for application to cancer-related communication. Public messages posted to the Breast Cancer Discussion List and the Prostate Problems Mailing List were content analyzed uasing an augmented version of Linguistic Inquiry and Word Count to evaluate communication styles within these two cancer types. Breast cancer patients were more likely to submit multiple messages to the list and made greater use of words related to emotional disclosure and cognitive processing compared with prostate cancer patients. Prostate cancer patients were less likely to seek emotional support or repeated interaction with other patients, and more of their communication focused on cancer-related information. Use of cancer-specific word libraries significantly increased word identification within these samples. Content analysis of online communication appears to be a promising method for detecting communication differences among subgroups of cancer patients.

Adult↗
PubMed2005

A distributed computing system for multivariate time series analyses of multichannel neurophysiological data.

We present a client-server application for the distributed multivariate analysis of time series using standard PCs. We here concentrate on analyses of multichannel EEG/MEG data, but our method can easily be adapted to other time series. Due to the rapid development of new analysis techniques, the focus in the design of our application was not only on computational performance, but also on high flexibility and expandability of both the client and the server programs. For this purpose, the communication between the server and the clients as well as the building of the computational tasks has been realized via the Extensible Markup Language (XML). Running our newly developed method in an asynchronous distributed environment with random availability of remote and heterogeneous resources, we tested the system's performance for a number of different univariate and bivariate analysis techniques. Results indicate that for most of the currently available analysis techniques, calculations can be performed in real time, which, in principle, allows on-line analyses at relatively low cost.

Algorithms↗
PubMed2004

Reinventing mass communication: a World Health Organization tool for behavioral change to control disease.

Most of the WHO's vertical programs, because they were ill-conceived, ill-designed, and defectively implemented, have fallen far short of expectations. These limitations have been doggedly ignored by the WHO, although the authorities in India have now realized that such vertical programs are expensive and not sustainable. Launching of Communication for Behavioral Impact (COMBI) appears to mark a desperate effort to revive their performance. It represents yet another deviation from the mandate given to the WHO. In 1983, the then director general warned against motivational manipulation of people to sell health ideas, but the WHO has now brazenly come forward to look for help from the private sector. COMBI uses the jargon and language of the market place to "market" health programs; it calls this "cause-related marketing." The WHO has been most a historical in conceptualizing COMBI, as it has not learned from the failure of UNICEF's earlier venture to market child survival by employing experts in social marketing to bring about "community mobilization." The WHO should have reviewed the large body of literature on work in the health social sciences, health education, and the many programs based on the concept of "information, education, and communication." The pointed neglect of such key issues raises serious moral, ethical, and human rights questions. The COMBI approach amounts to be a breach of trust--a threat to human dignity.

Communication↗
PubMed2003

The effectiveness of grammar instruction for individuals who use augmentative and alternative communication systems: a preliminary study.

This study examined the effectiveness of an instructional program designed to teach grammar skills to individuals who communicated via augmentative and alternative communication (AAC). A single-subject, multiple probe across behaviors design was used to measure the effect of the instructional program on the acquisition and maintenance of the skills learned. Two adults with cerebral palsy participated in the study. The instructional program was used to teach 2 grammatical forms to each participant. Word order in adjective phrases and inversion of the auxiliary do in wh- questions was targeted for 1 participant; use of possessive pronouns and inclusion of to when using infinitives as modal verbs was targeted for the second participant. The instructional program was shown to be effective. Both participants learned to produce the grammatical forms taught. One participant maintained these skills for at least 2 months after the completion of instruction; the other participant required additional instruction in order to maintain the skills learned. Although based on a small sample, the results suggest that intervention can help individuals who use AAC improve their grammar skills. Limitations of the study are discussed, along with directions for future research.

Adult↗
PubMedDate not supplied

Effectiveness of counseling-based adult group aural rehabilitation programs: a systematic review of the evidence.

A systematic evidence-based review was conducted to examine the effectiveness of counseling and communication strategy-oriented group adult aural rehabilitation (AR) programs. The literature search for relevant articles focused on studies that (1) employed adults with hearing impairment; (2) used a group aural rehabilitation program that emphasized counseling and communication strategies; (3) utilized a randomized controlled trial, quasi-experimental, or non-intervention cohort design; (4) employed an outcome measure that assessed some aspect of personal adjustment, perceived hearing handicap, or hearing aid benefit and/or satisfaction; and (5) were published in a refereed journal. Twelve articles were found that met these inclusion criteria. Analysis of the 12 studies led to the following conclusion: there is reasonably good evidence that participation in an adult AR program provides short-term reduction in self-perception of hearing handicap and potentially better use of communication strategies and hearing aids. It is less clear whether this advantage over provision of hearing aids alone persists over time.

Adult↗
PubMed2000

Wheels within wheels: creating a circle of knowledge through communication.

For end-stage renal disease patients, patient education is a critical aspect of treatment and wellness. A successful patient education program depends on knowing the target audience and choosing materials and media according to what they already know and what they want and need to learn. Understanding how people learn and selecting an educational model to guide the creation of an educational program provide the underpinnings for an effective presentation. Selection of materials and medium and determining who, when, where, and how the program is conducted optimize the potential for learning. This article presents and illustrates part of The Renal Network's (ESRD Networks 9/10) outreach, communication, and programming efforts to bring all of these elements together in educational activities suitable for a diverse and significantly older population of patients across a 4-state area. It highlights The Renal Network's use and support of the Patient Advisory Council Representative as a patient leader undertaking activities on the facility level to provide patient-to-patient assistance, information sharing, and educational opportunities for fellow patients at their facility. This article shows how the Network initiated a consistent flow of information to facilitate the identification, assessment, selection, media, and means for its patient education activities.

Centers for Medicare and Medicaid Services, U.S.↗
PubMed2002

SoftCopy Display Quality Assurance Program at Texas Children's Hospital.

With growing dependence on picture archiving and communication systems for viewing images, a quality assurance program to monitor the condition of workstation displays has become increasingly important. At present there is no universally accepted program for PACS, but there are groups such as DICOM Working Group 11 of the ACR-NEMA and AAPM Task Group 18 that are working on image quality guidelines for interpretation from soft-copy displays. Texas Children's Hospital (TCH) is developing our own quality assurance program. Data is being collected to determine the appropriate frequency of calibration, the useful life of the displays, appropriate manufacturers, and model-dependent limits on maximum and minimum luminance (black level), symptoms of degradation, and monitor cleanliness. Our system includes a variety of monitors manufactured by Sun, AFP, Siemens, Image Systems, Barco, and Orwin. We are presently collecting data on individual monitor luminance functions but have not yet initiated service calls based on deviation from the DICOM Part 14 Grayscale Display Function (GSDF). The GSDF was intended to produce a grayscale in which driving levels produce changes in luminance that are perceptually equivalent throughout the entire luminance range for a specific test target. Our data is based on measurements of luminance from a digital Society of Motion Picture and Television Engineers (SMPTE) test pattern, which is a standard used by many other institutions. TCH's biomedical engineer measures luminance data each month from the display of the SMPTE pattern and record the results in a spreadsheet. The engineer also makes subjective evaluations of sharpness, geometric distortion, and artifacts. When a monitor's luminance falls outside of arbitrary 10% limits of maximum or minimum luminance, then a service call is placed to the vendor. The luminance check by the biomedical engineer is used to verify both routine and unscheduled calibrations. In addition to the monthly monitor checks, the vendor calibrates the monitor every three months. The vendor checks the following: width and height of display, focus and position of image, SMPTE test pattern, and a graph of the GSDF Index produced by an automatic calibration software by the video driver card. Monitors are also cleaned occasionally for dust, fingerprints, ink, and pencil marks, which accumulate with routine use. This paper reports data collected to date on luminance drift, as well as conclusions on appropriate frequency of test and calibration, and our experience with monitor useful life.

Computer Terminals↗
PubMedDate not supplied

Colon cancer: risk perceptions and risk communication.

Members of a health maintenance organization (N=353) interacted with a computer program that provided personalized information about their risk of developing colon cancer in the next 20 years. Prior to computer feedback, most people greatly overestimated their numerical, absolute risk (chances per 1000) and also overestimated their relative risk compared to peers (e.g., "above average"). Their relative risk estimates were correlated with several risk factors, whereas their absolute risk estimates were not, suggesting that assessing individual risk perceptions with numerical, absolute risk scales may provide misleading information about what people believe. Computer feedback improved the accuracy of mean risk estimates, but about half of participants did not accept the personalized feedback as correct. In fact, correlations between actual and perceived risk were no greater among participants who received risk scores than among those who did not. Three possible explanations for resistance to lower-than-expected risk feedback are considered.

Colonic Neoplasms↗